The marital and family functioning of adults with ADHD and their spouses

Little is known about the family relationships of adults with Attention-Deficit/Hyperactivity Disorder (ADHD). Thus, the marital adjustment and family functioning of 33 married adults with ADHD and their spouses was compared to 26 non-ADHD control participants and their spouses. Results revealed that married adults with ADHD reported poorer overall marital adjustment on the Dyadic Adjustment Scale (DAS; Spanier, 1989) and more family dysfunction on the Family Assessment Device (FAD; Eptein, Baldwin, & Bishop, 1983) than control adults. The spouses of adults with ADHD did not differ from control spouses in reports of overall marital adjustment and family dysfunction. A greater proportion of their marital adjustment scores, however, fell within the maladjusted range. The ADHD adults' perceptions of the health of their marriages and families were more negative than their spouses' perceptions. The way in which spouses of ADHD adults compensated for their partners' difficulties were explored through clinical interviews. The findings in this study underscore the need for assessments and treatments to address marital and family functioning of adults with ADHD.     

Marital Satisfaction: A Validation Approach

It was hypothesized that the desire for equity in relationships and the desire for validation from significant others are common human concerns which affect marital relationship satisfaction. Sixty married couples completed a series of questionnaires which assessed equity in 23 areas of the marital relationship, global equity in the marital relationship, relationship satisfaction, perceptions of relationship stability, understanding from spouse, validation from spouse, assistance from spouse in intellectual and emotional growth, frequency of stimulating conversations between the marital pair, frequency of affectionate touching from spouse, and sexual satisfaction in the marital relationship. Subjects who felt validated by their spouses reported more relationship satisfaction, greater relationship stability, more assistance from their spouses in intellectual and emotional growth, and greater sexual satisfaction than did subjects who did not feel validated by their spouses. Overall, equitably treated subjects reported more relationship satisfaction, greater relationship stability, more assistance from spouse in emotional growth, greater sexual satisfaction, and a greater frequency of affectionate touching from their spouses than did inequitably treated subjects. However, these differences between equitably treated and inequitably treated subjects applied primarily to non-validated subjects.     

Attribution processes in distressed and nondistressed couples: 4. Self-partner attribution differences

The importance of the self-other distinction for understanding the relation between attributions and marital satisfaction is examined in two studies. In Study 1, causal attributions for naturally occurring behavior by the self and spouse were investigated. Study 2 examined both causal and responsibility attributions for hypothetical behaviors. In both studies, the attributions of spouses seeking therapy were investigated in relation to those of happily married persons in the community. The results showed that self-other attribution differences varied as a function of marital distress. Nondistressed spouses showed a positive attribution bias by making more benign attributions for partner behavior as opposed to self-behavior, whereas distressed spouses showed a negative attribution bias by making less benign attributions for partner behavior than for self-behavior. These findings suggest that self-attributions may, in part, determine the impact of attributions for spouse behavior on marital satisfaction. The clinical relevance of the results and their implications for research on actor-observer attribution differences are outlined.     

His and Her Perspectives: Gender Ideology, Work-to-Family Conflict, and Marital Satisfaction

This study examines the relationships between gender ideology, work-to-family conflict, and marital satisfaction. We hypothesize that gender ideology will moderate relationships between both the respondent’s work-to-family conflict and their spouse’s work-to-family conflict in predicting marital satisfaction, and that spouses’ gender ideologies will interact in predicting marital satisfaction. The hypotheses are addressed using data from a random sample of U.S. dual-earner couples (N?=?156) in a western state. The findings indicate that the more egalitarian women’s gender ideologies, the stronger the negative relationship between women’s marital satisfaction and women’s work-to-family conflict. The results also indicate that the dependence of men’s marital satisfaction on wives’ gender ideologies varies according to men’s own gender ideologies. Implications of the study are discussed.     

Spousal understanding and marital satisfaction in pain patients and their spouses

The current study tested the hypotheses that knee osteoarthritis (OA) patients and spouses who report more spousal understanding of patient's pain would report greater marital satisfaction. A total of 124 couples completed interviews at three time points across 18 months. Results from dyadic analyses showed that patients who felt more understood by their spouse report, and have spouses who report, higher marital satisfaction concurrently. In addition, patients who felt more understood by their spouse reported higher marital satisfaction over time. Spouses' reports of understanding also had a significant influence on the patients' and their own marital satisfaction concurrently. Results highlight the importance of spouses understanding knee OA patients' pain for both dyad members' marital satisfaction.     

Understanding Marital Satisfaction and Couple Type as Functions of Relational Expectations

The present study examined the role played by relational expectations in determining marital satisfaction and in discriminating between married couple types. The discrepancy between one's expectations for his or her spouse's relational behavior and one's perceptions of his or her spouse's actual behavior significantly predicted marital satisfaction. Discrepancy scores for the relational dimensions of intimacy, distance, equality/ trust, dominance, and noncomposure/arousal appear to be most central in predicting satisfaction. While agreement between spouses on relational expectations significantly predicted satisfaction, expectation/perception discrepancies were revealed to be stronger predictors than agreement scores. There were no differences in relational expectations when compared across couple type; however, intimacy and noncomposure/arousal displayed significant differences when compared across wives’ individual marital type. Overall, intimacy, noncomposure/arousal, and equality/trust played central roles in understanding marital satisfaction.     

Are “We” Good? A Longitudinal Study of <Emphasis Type="Italic">We</Emphasis>-Talk and Stress Coping in Dual-Earner Couples

We applied the linguistic approach and a longitudinal design to investigate how dual-earner couples address work–family stress and how they reasoned with communal coping to reduce work–family stress. Although previous research indicated that we-talk may be a marker for communal coping, we argued that gender may differ in the psychological meanings of we-talk. We hypothesized that gender moderated the relationships between we-talk and satisfaction in both work and marriage. Thirty-one dual-earner couples were interviewed about how they coped with work–family stress. The data concerning work and marital satisfaction were collected twice, once during the interview and once 2 years later. The results indicated significant interactions between gender and we-talk in regard to both marital and work satisfaction. Specifically, we-talk that was used by wives increased their husbands’ work and marital satisfaction. In contrast, we-talk that was used by husbands decreased their wives’ work satisfaction. Our findings highlighted that the psychological meanings of we-talk were dependent on the talking context. The applications for reducing work–family stress were discussed.     

Physiological and affective predictors of change in relationship satisfaction

In 1980, 30 married couples had engaged in a low-conflict and a high-conflict conversational interaction while continuous physiological data were obtained. In a separate session each spouse had provided a continuous self-report of affect while viewing the videotape of the interaction. In 1983, 19 of these couples were re-located to determine the change in relationship satisfaction that had occurred over the preceding 3 years. A broadly based pattern of physiological arousal (across spouses, interaction segments, and physiological measures) in 1980 was found to predict decline in marital satisfaction; the more aroused the couple was during the 1980 interactions, the more their marital satisfaction declined over the ensuing 3 years. Several affective variables also predicted decline in marital satisfaction, including a pronounced sex difference in negative affect reciprocity: Marital satisfaction declined most when husbands did not reciprocate their wives' negative affect, and when wives did reciprocate their husbands' negative affect.     

The Family Environment in Chronic Pain Patients: Comparison to Controls and Relationship to Patient Functioning

Operant and cognitive-behavioral models of chronic pain have called attention to the importance of examining the marital and family environments of chronic pain patients. In this study, 50 chronic pain patients and their spouses and 33 control participants and their spouses completed measures of the family environment, marital satisfaction, and patient physical and psychological functioning. Patients' overt pain behaviors were coded from videotapes of patient–spouse interactions. Compared to controls, pain patients and their spouses rated their family environments as lower in cohesion and higher in control, and there was a trend for spouses to report more marital dissatisfaction. Chronic pain patient depression was associated negatively with patient-rated family cohesion and expressiveness and spouse-rated family organization and positively with patient-rated family conflict. Overt patient pain behaviors and spouse-rated patient disability were related negatively to spouse-rated family cohesion. Spouse marital satisfaction was associated negatively with patient depression and with spouse ratings of patient disability and pain behaviors.     

Religious Homogamy and Marital Satisfaction in South Korea: Exploring Variations across Religious Groups

This study examines whether and how the association between religious homogamy (i.e., whether spouses have the same religious affiliation) and marital satisfaction varies across religious affiliations by utilizing a unique context that four large religious groups (i.e., Buddhists, Protestants, Catholics, and religious nones) coexist in South Korea. Our results show that while religious homogamy has a positive relationship with marital satisfaction among Protestants and Catholics, there is no such association among Buddhists. This study also reveals that higher levels of religious attendance intensify the positive relationship between religious homogamy and marital satisfaction only among Protestants. Moreover, religious heterogamy is positively associated with marital relationships among religious nones compared to religious homogamy. However, this pattern held only for religious nones who married Buddhists or Catholics. We discuss the implications of our findings for research on religion and marriage from cross-cultural perspectives.     

Effect of Body Image on Tunisian Women’s Sexual Functioning

The objective of this study was to identify the perception of body image by Tunisian women and their spouses and to examine its impact on female sexuality. Our study involved 300 Tunisian women who had been married for at least 1 year and consulted in primary care medicine during the months of June and July 2016. Each participant completed a questionnaire covering four areas: women’s perception of their body, the perception of the spouses of the latter as it was reported by the participants, sexual activity, and the impact of body perception on sexual activity. The participants were satisfied with their bodies in 51% of cases. This satisfaction was associated with perceiving the body as physically attractive (p?=?0.007), young (p?=?0.047) and as a source of confidence (p?<?0.001). Compared to women dissatisfied with their bodies, those satisfied declared satisfaction of sexual desire (p?=?0.005), reaching orgasm (p?=?0.001), taking the initiative in sexual activity (p?=?0.003) and preparation for sex (p?=?0.006). Perceived satisfaction of the partner with the female body was related to a more positive sexuality in women, specifically to women’s sexual satisfaction (p?=?0.018), women taking sexual initiative (p?=?0.014) and preparation for sex (p?=?0.001). Our study indicates the important impact of a positive perception of the body image of Tunisian women by themselves and by their spouses on their sexuality. It would be interesting to consider these aspects in the management of female sexual disorders.     

Attachment,caregiving, and marital satisfaction

This research tested the proposition that attachment and caregiving are central, interrelated components of adult love relationships. A sample of 229 married couples was used to assess the association between attachment and caregiving styles and the implications of these variables for marital satisfaction. There was evidence of partner matching in terms of dimensions of attachment (Comfort with closeness, Anxiety over relationships) and caregiving (Responsive care, Compulsive care). Secure attachment (high Comfort with closeness, low Anxiety over relationships) was associated with beneficial caregiving to the spouse (high Responsive care, low Compulsive care). These associations were modest in size, however, suggesting that attachment and caregiving are separate constructs; further, these constructs were related in different ways to retrospective reports of early parenting. Marital satisfaction was higher for securely attached spouses, and for those whose partners reported more beneficial caregiving. For husbands, however, the link between caregiving and satisfaction was restricted to short-term marriages, and to those high in Anxiety over relationships. Overall, the results support the role of attachment and caregiving in marriage, but suggest that variables such as gender have important moderating effects.     

Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients' spouses.

This study investigated contextual determinants of psychological distress among 197 spouses of cancer patients. It was hypothesized that higher levels of patient functional impairment would lead to greater patient distress. Patient distress, in turn, would lead to lower spouse marital satisfaction and ultimately to higher spouse distress. Spouses completed measures of distress and marital quality at three time points. Cancer patients rated their functional impairment and psychological distress at the same time points. Results indicated that at all time points, greater patient impairment was associated with higher levels of patient distress, which, in turn, was related to lower marital satisfaction. However, marital quality was related to spouse distress at only 1 time point, but spouse distress was directly associated with patient distress at each time point. Implications for cancer patients and spouses are discussed.     

Attachment,marital interaction,and relationship satisfaction: A diary study

The relations among measures of attachment, spouse behavior, and marital satisfaction were assessed in a broad sample of 193 married couples, using both questionnaire and diary methods. Insecure attachment was associated with less favorable reports of spouse behavior, as assessed by diary checklists. Marital satisfaction was predicted by attachment measures and reports of spouse behavior. The relation between attachment security and marital satisfaction was moderated, but not mediated, by reported spouse behavior. Specifically, insecure individuals’ evaluations of their relationships were more reactive to recent spouse behavior, an effect that was especially marked for fearful participants and for those in longer‐term marriages. Some gender differences in patterns of prediction were obtained. The results are discussed in terms of the working models associated with attachment styles, and the processes by which relationship satisfaction may be eroded over time.     

Gaps Between Immigrant Spouses in Host Country Language Proficiency: Longitudinal Effects on Marital Satisfaction

Research on immigration underscores the importance of language acculturation in successful adjustment to life in a new country. However, the profound impact of different levels of language proficiency between immigrant spouses on their married life is an understudied topic. The current study explores whether differences between immigrant spouses in host language proficiency predict marital satisfaction in their first four years in the host country. Using a three-wave longitudinal study, with intervals of one to two years, we collected data from 316 married couples who immigrated from the Former Soviet Union to Germany and Israel. Language proficiency and marital satisfaction were measured via self-report questionnaires. We conducted an Actor-Partner Interdependence Model analysis to control for dyadic and time data dependencies. The results indicate that differences between spouses in their host language proficiency predict marital dissatisfaction, and that this effect is exacerbated over time. These associations held across gender and host country. The findings are discussed in light of the gap-distress model.     

His and her marital satisfaction: The double standard

Despite the wealth of research on marital satisfaction, little is known about the cross-effects of husband and wife variables on the satisfaction of the self, on the one hand, and the spouse, on the other. The study presents a model that simultaneously examines the direct and indirect effects of several sociocultural factors on the satisfaction of each spouse. In a sample of 206 Israeli couples, linear structural relationships path analysis revealed two dominant effects: the husband's liberalism and his desire to marry. The more liberal his attitudes and the stronger that desire, the greater the marital satisfaction of both spouses. Men were more satisfied when they themselves held liberal views and when their wives held conservative ones. Premarital cohabitation and the pattern of spouse selection had little effect on marital satisfaction, implying that arranged marriages and autonomous choice constitute symmetric options.In part, the study reported here is based on a doctoral dissertation (1988) prepared for the Department of Education, Bar-Ilan University, Ramat Gan, Israel. This research was supported by a grant from the Ford Foundation received through the Israel Foundations Trustees. The author is grateful to Prof. Dafna Izraeli, Prof. Fern Kramer-Azima, Dr. Ruth Katz, and Dr. Yoav Lavee for their insightful comments, and to Helen Hogri for her editorial assistance.     

Conflict in Married Couples: Personality Predictors of Anger and Upset

This research had two central goals: to examine the role of personality in (a) performing actions that anger spouses, and (b) eliciting anger-provoking actions from spouses. Personality data on a sample of married persons (N = 214) were obtained from three sources--self-report, spouse-observer report, and independent interviewers' reports. In a separate session, subjects recorded which of 147 upsetting actions their spouses had performed in the past year. A series of hierarchical multiple regressions revealed the effects of Surgency, Agreeableness, Conscientiousness, Emotional Stability, and Intellect on evoking upset in spouses through condescension (e.g., treating spouse as stupid or inferior), possessiveness (demanding too much time and attention), abuse (slapping spouse), unfaithfulness (having sex with others), inconsiderateness (leaving toilet seat up), moodiness (crying a lot), alcohol abuse (drinking too much alcohol), emotional constriction (hiding emotions to act tough), and self-centeredness (acting selfishly). Discussion of this research focuses on the implications of personality for conflict in marital relationships.     

Forgiveness in marriage: putting the benefits into context.

The current longitudinal study examined the consequences of spouses' tendencies to forgive their partners over the first 2 years of 72 new marriages. Though positive main effects between forgiveness and marital outcomes emerged cross-sectionally, spouses' tendencies to forgive their partners interacted with the frequency of those partners' negative verbal behaviors to predict changes in marital outcomes longitudinally. Specifically, whereas spouses married to partners who rarely behaved negatively tended to remain more satisfied over time to the extent that they were more forgiving, spouses married to partners who frequently behaved negatively tended to experience steeper declines in satisfaction to the extent that they were more forgiving. Similar patterns emerged for changes in the severity of husbands' problems, such that husbands married to wives who frequently behaved negatively reported sharper increases in problem severity to the extent that they were more forgiving but reported more stable problem severity to the extent that they were less forgiving. These findings question whether all spouses should benefit from forgiveness interventions and thus highlight the need for further research on the most appropriate targets for such interventions.     

Negative representations of the self/spouse and marital distress

The link between marital distress and negative representations of both the self and the spouse was examined with data from an initial sample of 538 married couples studied over the first four years of marriage (Study 1) and 98 of these couples studied in their tenth year of marriage (Study 2). Findings from Study 1 indicated that, for both husbands and wives, representations of the self and representations of the spouse accounted for unique variability in distress. Across spouses, representations of the spouse accounted for more of the variability in distress than did representations of the self. Cross–spouse effects were especially pronounced for husbands such that their distress was linked to wives’ representations. Findings from Study 2 with self/spouse measures anchored to the marital context replicated this pattern. Findings support the view that marital distress is uniquely influenced by models of both the self and the spouse, that representations of the self and the spouse are dynamic relationship schemas, that models of the self and the spouse can be meaningfully assessed within the marital context, and that negative representations of the spouse—particularly those of wives—are especially diagnostic of marital distress.     

Spousal conflict resolution strategies and marital relations in late adulthood

In this study, we examined differences in the spousal conflict resolution strategies of husbands and wives in late adulthood among a sample of 76 married Israeli couples (N = 152). Using dyadic analysis (the actor–partner interdependence model), we examined the impacts of the strategies adopted by each spouse as well as their partner on evaluations of marital life as reflected in their assessments of positive and negative dimensions of marital life. The findings revealed that integration was the most prevalent strategy used by both spouses, whereas dominance and avoidance were the least prevalent strategies. Moreover, integration contributed most significantly to explaining assessments of marital life.